The removal of left temporal and insular astrocytoma using intraoperative mapping of language zones under conditions of intraoperative awakening
Abstract
The usage of such current medical technologies as functional MRI, tractography, intraoperative sonography, neuronavigation, neurophysiological mapping of cortex and white matter of brain at patient in conscious lead to significant decrease of risk of postoperative neurological deficit development during removal of brain tumors located in the functionally significant brain areas. The usage of intraoperative neurophysiological mapping of cerebral cortex at patients in conscious using protocol “asleep-awake-asleep” allows increasing the radicality of removal of parenchymal tumors located in language significant areas with significant decrease risk of refractory postoperative neurological deficit development. However the performing of neurosurgical manipulations on brain under condition of “asleep-awake-asleep” protocol requires слаженной работы of a team including neurosurgeon, neurophysiologist, anesthesiologist, neuropsychologist and radiologist. This article presents the clinical case of successful surgical treatment of patient with left temporal and insular astrocytoma (grade II) with infiltration of language zones.
About the Authors
A. A. Zuev
Национальный медико-хирургический центр им. Н.И. Пирогова
Russian Federation
Russian Federation
N. V. Pedyash
Национальный медико-хирургический центр им. Н.И. Пирогова
Russian Federation
Russian Federation
D. S. Ivanova
Национальный медико-хирургический центр им. Н.И. Пирогова
Russian Federation
Russian Federation
I. S. Kulikova
Национальный медико-хирургический центр им. Н.И. Пирогова
Russian Federation
Russian Federation
A. N. Kuznetsov
Национальный медико-хирургический центр им. Н.И. Пирогова
Russian Federation
Russian Federation
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Review
For citations:
Zuev A.A., Pedyash N.V., Ivanova D.S., Kulikova I.S., Kuznetsov A.N. The removal of left temporal and insular astrocytoma using intraoperative mapping of language zones under conditions of intraoperative awakening. Russian journal of neurosurgery. 2015;(2):62-67. (In Russ.)
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